Muskogee Pediatrics and Family Health Solutions, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MUSKOGEE PEDIATRICS AND FAMILY HEALTH SOLUTIONS, LLC

Doing business as

Muskogee Pediatrics and Family Health Solutions

Practice address

3505 W Broadway St
Muskogee, OK 74401-2138

Phone

(918) 683-8442

Fax

(918) 683-8390

NPI assigned

Feb 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rhonda Raneigh Tootill, APRN-CNP, FNPNPI 1447677281

Title

Owner

Phone

(918) 683-8442

Specialties & licenses 2

Addresses

Other names 1

• Muskogee Pediatrics and Family Health Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda Tootill, FNP

  • Critical Care Pediatric Nurse Practitioner
  • Muskogee, OK
  • NPI 1447677281
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin S Coffman, ARNP

  • Nurse Practitioner
  • Muskogee, OK
  • NPI 1336410273
  Medicare reassignment Care Compare group NPD
• Kellie Renee Swim, APRN

  • Family Nurse Practitioner
  • Tahlequah, OK
  • NPI 1518378371
  NPD (past)
• Kevin Francis Wade, M.D.

  • Pediatrics Physician
  • Ontario, OR
  • NPI 1629135926
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1316570690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "918-683-8442",
            "fax_number": "918-683-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "918-683-8442",
            "fax_number": "918-683-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE PEDIATRICS AND FAMILY HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "TOOTILL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "RANEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-683-8442",
        "authorized_official_credential": "APRN-CNP, FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskogee Pediatrics and Family Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muskogee Medical Care PLLC
• Muskogee Medical Group PLLC (Muskogee Surgical Group)
• Muskogee Medical Group, LLC
• Muskogee Medical Inc
• Muskogee Pediatric Dental PLLC
• Muskogee Pet and Nuclear Imaging
• Muskogee Physician Group LLC
• Muskogee Physician Group LLC
• Muskogee Physician Group, LLC
• Muskogee Physicians Group LLC

• Pediatrics Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.